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Abstract Metasurfaces, promising technology exemplified by their precise manipulation of incident wave properties and exquisite control over electromagnetic field propagation, offer unparalleled benefits when integrated into radar systems, providing higher resolution and increased sensitivity. Here, we introduce a metasurface-enhanced millimeter-wave radar system for advanced near-field bio-sensing, underscoring its adaptability to the skin-device interface, and heightened diagnostic precision in non-invasive healthcare monitoring. The low-profile planar metasurface, featuring a phase-synthesized array for near-field impedance matching, integrates with radar antennas to concentrate absorbed power density within the skin medium while simultaneously improving the received power level, thereby enhancing sensor signal-to-noise ratio. Measurement verification employs a phantom with material properties resembling human skin within the radar frequency range of 58 to 63 GHz. Results demonstrate a notable increase of over 11 dB in near-field Poynting power density within the phantom model, while radar signal processing analysis indicates a commensurate improvement in signal-to-noise ratio, thus facilitating enhanced sensing in biomedical applications.